HomeMy WebLinkAbout0009_9_CFD 2015-1 - Exhibit H Special Tax BallotSPECIAL TAX ELECTION
CITY OF LAKE ELSINORE
ANNEXATION OF TERRITORY TO
COMMUNITY FACILITIES DISTRICT NO. 2015-1 (SAFETY SERVICES)
ANNEXATION NO. 2
(April 11, 2017)
This ballot is for the use of the authorized representative of the following owner of land within
Annexation No. 2 of the Community Facilities District No. 2015-2 (Safety Services) (“CFD No.
2015-1”) of the City of Lake Elsinore:
Name of Landowner Number of Acres Owned Total Votes
KB Home California, LLC 37.9 38
According to the provisions of the Mello-Roos Community Facilities Act of 1982, and resolutions
of the City Council (the “Council”) of the City of Lake Elsinore (the “City”), the above-named
landowner is entitled to cast the number of votes shown above under the heading “Total Votes,”
representing the total votes for the property owned by said landowner. The City has sent the
enclosed ballot to you so that you may vote on whether or not to approve the special tax.
This special tax ballot is for the use of the property owner of the parcels identified below, which
parcels are located within the territory proposed to be annexed to the CFD No. 2015-1, City of
Lake Elsinore, County of Riverside, State of California. Please advise the City Clerk, at (951)
674-3124 x 269 if the name set forth below is incorrect or if you are no longer one of the owners
of these parcels. This special tax ballot may be used to express either support for or opposition
to the proposed special tax. To be counted, this special tax ballot must be signed below by the
owner or, if the owner is not an individual, by an authorized representative of the owner. The
ballot must then be delivered to the City Clerk, either by mail or in person, as follows:
Mail
Delivery: If by mail, place ballot in the return envelope provided, and mail no later than
March 28, 2017, two calendar weeks prior to the date set for the election.
Mailing later than this deadline creates the risk that the special tax ballot may not
be received in time to be counted.
Personal
Delivery: If in person, deliver to the City Clerk at any time up to 7:00 p.m. on April 11,
2017, at the Clerk’s office at 130 N Main St. Lake Elsinore, CA 92530.
However delivered, this ballot must be received by the Clerk prior to the close of the public
meeting on April 11, 2017.
Very truly yours,
Susan M. Domen, MMC
City Clerk
City of Lake Elsinore
TO CAST THIS BALLOT, PLEASE RETURN THIS ENTIRE PAGE.
OFFICIAL SPECIAL TAX BALLOT
Name & Address of Property Owner: Assessor’s Parcel Number(s):
KB Home California, LLC
Attn: Vernell Williams
86310 Inland Valley Drive
Wildomar, CA 92595
389-090-013
ANNEXATION OF TERRITORY TO
COMMUNITY FACILITIES DISTRICT NO. 2015-1 (SAFETY SERVICES)
ANNEXATION NO. 2
AN “X” OR OTHER MARK WILL CAST ALL VOTES ASSIGNED TO THIS BALLOT
SPECIAL TAX BALLOT MEASURE MARK “YES” OR “NO”
WITH AN “X”:
Shall the City Council of the City of Lake Elsinore be authorized to
levy a special tax on an annual basis at the rates and apportioned as
described in Exhibit C to the Resolution Declaring its Intention to
Annex Territory to Community Facilities District No. 2015-1 (Safety
Services) adopted by the City Council on February 28, 2017 (the
“Resolution”), which is incorporated herein by this reference, within
the territory identified on the map entitled “Annexation Map No. 2 of
Community Facilities District No. 2015-1 (Safety Services) City of
Lake Elsinore” to finance certain services as set forth in Section 4 to
the Resolution (including incidental expenses) and shall an
appropriation limit be established for Community Facilities District
No. 2015-1 (Safety Services) in the amount of special taxes
collected?
YES _________
NO _________
Certification for Special Election Ballot
The undersigned is an authorized representative of the above-named landowner and is the
person legally authorized and entitled to cast this ballot on behalf of the above-named
landowner.
I declare under penalty of perjury under the laws of the State of California that the foregoing is
true and correct and that this declaration is executed on ____________, 20__.
KB Home California, LLC
By: Vernell Williams, Project Manager
Signature
Print Name
Title